The Research Corporation of the University of Hawaii
2015 Performance Evaluation (Scored Rating)
GENERAL INFORMATION:
Employee
Name:
Project Name:
Type of
Evaluation:
Period
TO:
Job Title:
Period FROM:
July 1, 2014
Annual
Periodic
Post-Probation
Other:
Quarterly
June 30, 2015
RATING DEFINITIONS:
5 – Distinguished
4 – Commendable
3 – Satisfactory
2 – Marginal
1 - Unsatisfactory
Sustained exceptional performance. Achievements are clearly the best among peers or have significance to project outcomes.
Consistently exceeds established standards. Performance is significantly better than average. Commendable performance.
Performance satisfies the requirements of the job. Performance meets standards set for the position on a consistent basis.
Performance does not meet an acceptable level in all areas, but employee is steadily improving.
Performance completely fails standards established for the job. Significant performance improvement needed. Performance at
this level could lead to corrective action.
SECTION 1 - JOB FUNCTIONS, QUALIFICATIONS/SPECIFIC JOB COMPETENCIES & OTHER:
Instructions: Enter the rating, which describes the employee’s work performance. Include your written comments
to justify your rating. You must provide Comments for a rating of Distinguished (5) or Unsatisfactory (1). Add up all
rating values and include the total on bottom left (Total Score Section 1). NOTE: An “Unsatisfactory” rating in any
factor will equate to a “Zero Value” for this entire Section.
Rating Factors
Rating
Written Comments
See above for rating definitions. Enter the numerical
rating in the appropriate column.
(Attach Additional Comments if necessary)
(5) (4) (3) (2) (1)
Performance of “Primary Job Functions” (as
identified as “BOLDED” job duties on
employee’s job description).
Performance of “Other Job Functions” (as
identified on employee’s job description).
Ability to demonstrate mastery of job’s
qualifications and/or competencies
Other (specify):
Total Score Section 1:
Additional Comments:
RCUH Form E-16b, RCUH Performance Evaluation (Scored Rating)
(04/16/15)
Page 1 of 4
SECTION 2 - PERFORMANCE COMPETENCIES:
Instructions: Enter the rating that most adequately describes the employee’s ability to demonstrate the performance competencies listed. You
must provide Comments for a rating of Distinguished (5) or Unsatisfactory (1). Add up all rating values and include the total on bottom left (Total
Score Section 1). NOTE: An “Unsatisfactory” rating in any factor will equate to a “Zero Value” for this entire Section.
Performance Competencies
Rating
Written Comments
See above for rating definitions. Enter the
numerical rating in the appropriate column.
(Attach Additional Comments if necessary)
(5) (4) (3) (2) (1)
Attendance/Work Habits: Appropriate use of
leave, consideration of workload, prompt, appropriate
notification of tardiness, maintains required hours,
effective use of time.
Cooperation: Ability and willingness to work with
associates, superiors and others. Develops cooperation
while working toward solutions and goals.
N/A
N/A
Communication: Ability to communicate effectively
orally & in writing. Uses appropriate channels, assumes
responsibility for communicating to superiors/coworkers
Dependability/Commitment to Work:
Conscientious, responsible, reliable with respect to work
completion. Commits fully to the job. Strong work ethic.
Initiative: Contributes new ideas, able to work
independently toward approved goals. Improves working
skills and abilities.
Learning Ability/Knowledge of Job: Readily
grasps new job requirements. Has a clear understanding
of facts or factors pertinent to the job.
Productivity: Demonstrated accomplishment, volume
of work. Submits assignments timely. Operates with a
clear sense of priorities.
Quality of Work: Thoroughness, accuracy and
neatness of work. Committed to continuous improvement
efforts. Takes appropriate action to reduce errors.
Safety Awareness: Contributes to and encourages
a safe work environment. Follows safety rules, follows
good practices, takes proper care of equipment.
The following categories apply only to EXEMPT/SUPERVISORY LEVEL positions.
(Rate only if applicable)
Performance Competencies
Rating
Written Comments
(ONLY COMPLETE For Supervisory Positions
or Exempt Professional Positions)
See above for rating definitions. Enter the
numerical rating in the appropriate column.
(5) (4) (3) (2) (1)
Demonstrated Competencies of RCUH Policies
and Procedures: Includes attendance at RCUH
training and knowledge and ability to apply RCUH policies
and procedures.
Ability to Train and Develop Subordinates:
Demonstrated abilities to train, mentor, and develop
competencies in staff.
Managing Subordinates: Effective in evaluating,
leading, communicating to and developing subordinate staff.
Planning & Organization: Sets realistic goals with good
sense of priorities.
Problem Solving/Decision Making Capabilities:
Shows capability to analyze and solve problems requiring
analytic or innovative thinking
Total Score for Section 2:
RCUH Form E-16b, RCUH Performance Evaluation (Scored Rating)
(04/16/15)
Page 2 of 4
(Attach Additional Comments if necessary)
SECTION 3 - DEVELOPMENT AREAS:
1) What do you consider his/her strong points or things he/she does well at?
2) What are some areas he/she could improve on? What steps are being taken to strengthen this (or these) areas for
opportunity?
3) Goals, tasks, projects, activities, etc. for the upcoming year:
SECTION 4 – OVERALL SUMMARY RATING:
Instructions: Total your scores in Sections 1 and 2. Enter the total score into the applicable rating/range.
Example: Exempt/Supervisor is evaluated and if his/her Total Scores from Section 1 and 2 is a “74” = Distinguished rating. Place
score in applicable box of “Enter score relative to Rating Range” below.
Enter score relative to
Rating Range
Rating
Exempt/Supervisory
Distinguished
Commendable
Satisfactory
Marginal
Unsatisfactory
64 – 85
55 – 63
37 – 54
19 - 36
0 - 18
RCUH Form E-16b, RCUH Performance Evaluation (Scored Rating)
(04/16/15)
Page 3 of 4
Exempt/NonSupervisory
Non-Exempt
49 – 60
40 – 48
27 - 39
14 - 26
0 - 13
SECTION 5 – EMPLOYEE COMMENTS:
Employee's Comments:
EMPLOYEE: By signing below, I acknowledge that this evaluation was reviewed with me by my supervisor.
JOB DESCRIPTION CERTIFICATION: By checking this box
updated.
, I certify that the job description on file for my position is NOT current and needs to be
Print Name _________________________________ Signature: ___________________________________ Date: _______________
SECTION 6 – ADMINISTRATIVE REVIEWS:
SUPERVISOR/MANAGER: (Person who completed this evaluation)
Print Name _________________________________ Signature: ___________________________________ Date: _______________
PRINCIPAL INVESTIGATOR: JOB DESCRIPTION CERTIFICATION: By checking this box
, I certify that the job description on file for my
employee is NOT current and needs to be updated. If this box is checked, I acknowledge that I will submit a revised job description (using Track Changes)
to RCUH Human Resources at rcuhhr@rcuh.com within thirty (30) days from date signed below.
Print Name _________________________________ Signature: ___________________________________ Date: _______________
RCUH HUMAN RESOURCES:
Print Name _________________________________ Signature: ___________________________________ Date: _______________
RCUH Form E-16b, RCUH Performance Evaluation (Scored Rating)
(04/16/15)
Page 4 of 4